LEAD REGISTRATION FORM
Please select the program you are registering for.
What Program are you registering for?
Mini Hoops Fall Academy
Girls U9/10 Fall Team
Girls U11/12 Fall Team
Girls U13/14 Fall Team
Girls U15/16 Fall Team
Girls U16/17 Fall Team
T-shirt Size
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Athlete Name
First Name
Middle Name
Last Name
Age:
Gender
Please Select
Male
Female
N/A
E-mail
example@example.com
Submit Application
My Products
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Girls U9/10 Fall Team
$630.00 CAD
$
630.00
CAD
Quantity
1
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10
Girls U11/12 Fall Team
$800.00 CAD
$
800.00
CAD
Quantity
1
2
3
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7
8
9
10
Girls U13/14 Fall Team
$800.00 CAD
$
800.00
CAD
Quantity
1
2
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7
8
9
10
Mini Hoops Fall Academy
$280.00 CAD
$
280.00
CAD
Quantity
1
2
3
4
5
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7
8
9
10
Girls U15/16 Fall Team
$840.00 CAD
$
840.00
CAD
Quantity
1
2
3
4
5
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7
8
9
10
Girls U16/17 Fall Team
$840.00 CAD
$
840.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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